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Updated: Apr 19, 2026
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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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Development of chronic pain after episiotomy
M Turmo1, M Echevarria1, P Rubio1
1Servicio de Anestesiología y Reanimación, Unidad de Investigación, Hospital de Valme, Sevilla, España.
Revista Espanola De Anestesiologia Y Reanimacion
|January 4, 2015
Summary
Chronic episiotomy pain affects 12.8% of women, indicating a significant health concern. Factors like operative delivery and early pain predict its development, necessitating further research.
Area of Science:
- Obstetrics and Gynecology
- Pain Medicine
- Women's Health
Background:
- Episiotomy is a common surgical procedure during childbirth.
- Chronic pain following episiotomy can significantly impact postpartum quality of life.
Purpose of the Study:
- To determine the incidence of chronic pain 5 months after episiotomy.
- To identify potential prognostic factors associated with persistent episiotomy pain.
Main Methods:
- A prospective cohort observational study involving pregnant women aged 18 years or older undergoing episiotomy.
- Pain assessment at 24 and 48 hours postpartum via face-to-face interviews, and at 5 months via telephone questionnaires.
- Data collected on pain intensity, epidural analgesia, instrumental delivery, perineal tears, pain during episiotomy, dyspareunia, and urinary incontinence.
Main Results:
- 12.8% of the 78 women who completed the study reported chronic episiotomy pain at 5 months.
- Chronic pain was significantly associated with operative delivery, presence of pain at rest at 24/48 hours, wound complications, and dyspareunia.
- Epidural analgesia correlated with higher rates of instrumental delivery and reduced pain during episiotomy and expulsion.
Conclusions:
- The 12.8% incidence of chronic pain post-episiotomy highlights a notable public health issue.
- Further research is required to validate these findings and explore management strategies.
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